A Randomized Control Trial Comparing Direct Stripping and Bipolar Electrocoagulation for Laparoscopic Endometriotic Cystectomy-Surgical and Histopathological Aspects

Kallol Kumar Roy, Shilpa Singla, Hemapriya Chawla, Jinee Baruah, Jai Bhagwan Sharma, Sunesh Jain
In: International Journal of Clinical Medicine · 2011 · vol. 02(02) , pp. 69–74 · doi:10.4236/ijcm.2011.22013 · W2025108500
article OA: diamond CC0 ⤵ 1 in-corpus citation
🔓 Open OA copy View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This randomized trial found bipolar electrocoagulation and cutting to be faster than direct stripping for laparoscopic endometriotic cystectomy, with similar difficulty and follicle sacrifice but less hemorrhage.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This randomized controlled trial compared direct stripping versus bipolar electrocoagulation and cutting during laparoscopic endometriotic cystectomy at the ovarian hilum in 64 women with laparoscopically confirmed unilateral endometriomas >3 cm, using operative time/difficulty assessments and histopathologic quantification of normal ovarian tissue in separately excised hilar tissue and cyst wall. The mean operative time was significantly shorter with bipolar electrocoagulation and cutting (about 8.8 minutes less), while operative difficulty and the number/availability of follicles sacrificed did not differ significantly; hemorrhage was reported to be higher with direct stripping. A key limitation is that the study had a relatively short (six-month) follow-up for outcomes like recurrence and did not show a difference in residual ovarian volume between techniques. This paper is centrally about endometriosis — it directly evaluates surgical approaches for laparoscopic endometriotic cystectomy and their surgical and histopathological effects.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

The present study compared two different techniques of endometriotic cystectomy at the hilus : continuation of strip-ping and bipolar elctrocoagulation and cuttin . This was a randomized controlled study was done on 64 patients, who had laparoscopically confirmed endometriomas > 3 cm in diameter. Endometriotic cystectomy was initiated by excision of a circular rim of tissue at the original adhesion site followed by stripping and randomization was done at the ovarian hilum into 2 groups. In Group I surgery was completed by continuation of stripping and in group II surgery was completed by bipolar coagulation and cutting with scissors. Operative time and operative difficulty were evaluated at both steps by the same surgeon. Histopathology confirmation of the loss of normal ovarian tissue was recorded in the excised cyst and at the hilus separately. Data was analysed using Stata software, fisher’s exact test was employed to assess operative difficulty and Kruskal-Wallis test was used to evaluate ovarian tissue quality. The mean operating time was reported to be significantly lesser in the coagulation and cutting group. The operative difficulty was comparable in two groups. The number of primordial follicles sacrificed showed no significant difference in both groups. Complication rate in terms of hemorrhage was higher in the direct stripping group.

My notes (saved in your browser only)

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (22)

Cited by (1)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK